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Bump Above The Temple, Growing In Size, Irregular Shape. What Should Be Done?
My son is 8 and has a bump above his temple and when touched it gives the bounce that a vein gives. It has grown about 1cm in the last month. He is also non-verbal and autistic, but when I push on it he pushes my hand away, so I assume it is at least uncomfortable. It was round and pretty symetrical at first, now that it is growing it is becoming irregular and more asymetrical.Should I take him to see the neuro doc? Lab work for sed rate testing? MRI?
Tue, 16 Jul 2013
Hello,
Thank you for your question.
This bump can be a Vascular Malformation.
These are improperly grown blood vessels that get entangled and cause a swelling.
An MRI of the head with STIR protocol will be able to differentiate it between a Slow Flow and a High Flow Vascular malformation.
This can be treated appropriately depending on what it is on the MRI.
Slow flow malformations are typically soft and non pusatile and can be treated by percutaneously injecting Sclerosing Agents like Sodium Tetradecyl Sulphate.
High flow malformations would be pulsatile to touch and would need an intra arterial embolization followed by surgical excision.
The Sclerotherapy or Embolization is done by a Vascular Interventional Radiologist like myself.
Regards,
Dr.Saurabh Joshi,
MD,FNVIR
Consultant Vascular Interventional Radiologist
Thank you for your question.
This bump can be a Vascular Malformation.
These are improperly grown blood vessels that get entangled and cause a swelling.
An MRI of the head with STIR protocol will be able to differentiate it between a Slow Flow and a High Flow Vascular malformation.
This can be treated appropriately depending on what it is on the MRI.
Slow flow malformations are typically soft and non pusatile and can be treated by percutaneously injecting Sclerosing Agents like Sodium Tetradecyl Sulphate.
High flow malformations would be pulsatile to touch and would need an intra arterial embolization followed by surgical excision.
The Sclerotherapy or Embolization is done by a Vascular Interventional Radiologist like myself.
Regards,
Dr.Saurabh Joshi,
MD,FNVIR
Consultant Vascular Interventional Radiologist
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